Physical therapy (functional capacity test)
Facility: Gundersen St Josephs Hospital and Clinics
Billing Code: 97750 (CPT)
Highest price of the 9 WI hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.
A fair price for a Physical therapy (functional capacity test) is about $131 (about 3.9× the $34 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $136, or about $110 in cash — about the fair price. Located in Hillsboro, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $101 - $133 | 299% |
| Blue Cross Blue Shieldmajor | $94 - $352 | 279% |
| Aetnamajor | $180 | 534% |
| Cignamajor | $156 | 462% |
| Humanamajor | $162 | 480% |
| Amerigroup | $15 | 44% |
| Quartz | $104 | 308% |
| Security Health Plan | $37 | 110% |
| UCare | $99 - $152 | 294% |
| + 4 smaller / regional plans | $94 - $180 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Gundersen St Josephs Hospital and Clinics
Compare: Physical therapy (functional capacity test) at other WI hospitals
- SSM Health St Clare Hospital - Baraboo · Baraboo $29
- SSM Health St Mary's Hospital - Madison · Madison $29
- St Josephs Community Hospital West Bend · West Bend $32
- Sauk Prairie Hospital · Prairie Du Sac $32
- Froedtert Memorial Lutheran Hospital · Milwaukee $32
- Froedtert Community Hospital · New Berlin $32
- The Monroe Clinic · Monroe $33
- SSM Health St Agnes Hospital-Fond Du Lac · Fond Du Lac $33
Insurance negotiated median for the same procedure, sorted lowest first.